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Fistula between external iliac artery and ileal conduit after radical cystectomy: a life-threatening complication
Octavio A Castillo1, Felix Campos Juanatey, Franklin Vives Rivera
1Urology Department. Clinica Indisa. Chile. Facultad de Medicina. Universidad Andres Bello. Santiago. Chile.
Objective:
To present a rare complication of an iliac artery to ileal conduit fistula after radical cystectomy.
Methods:
A 74 year-old man with muscle invasive bladder cancer was submitted for robotic radical cystectomy with intracorporeal ileal conduit. Twenty-four days after surgery he was readmitted due to an active bleeding from the ileal conduit.
Results:
CT-Scan showed an arterial fistula between the external iliac artery and the ileal conduit. The emergency procedure done was an artery ligation, bilateral cutaneous ureterostomy and extra-anatomic femoro-femoral bypass.
Conclusions:
A fistula from the external iliac artery to the ileal conduit is a rare and serious complication in the Bricker type urinary diversion, with only 7 cases reported in the international literature.
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